HomeMy WebLinkAboutBLD2011-00796 Final Replacement Heat Pump - BLD Permit / Conditions - 10/5/2011 1
Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Ir Shelton, WA 98584
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MECHANICAL PERMIT BLD2011-00796
OWNER: W. ROBERT, CREIGHTON RECEIVED: 9/29/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 9/29/2011
SITE ADDRESS: 80 NE HILLSIDE ACRES LN BELFAIR EXPIRES: 3/29/2012
PARCEL NUMBER: 123213190010
LEGAL DESCRIPTION: TR 1 OF NE SW EX LOT: 1 OF SP#1971
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT HEAT PUMP ST RT 3 TO BELFAIR, L ON LOG YARD RD, L ON KATCHEMAK LN GO
OVER THE RR TRACTS, TAKE HARD LEFT DRIVEWAY IS ON THE RIGHT
General Information Setback Information
Front: Ft. Shoreline: Ft.
Type of Use: SF Insp.Area:
Rear: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: 2
Side 1: Ft.
Valuation:
4I Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Mechanical Permit Fee GMM 9/29/2011 $18.20 S120110000(
Mechanical Base Fee GMM 9/29/2011 $28.50 S120110000(
Total $46.70
BLD2011-00796 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2011-00796
CONDITIONS FOR
BLD2011-00796
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-64; K 2��person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE
MINIMU DARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit a
4) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County �ances and building regulations.
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5) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time
for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the
permit r =nted action from being taken. No more than one extension may be granted.
6) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures-nieqt the setback conditions listed.
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BLD2011-00796 Please refer to the following pages for conditions of this permit. Page 2 of 3
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Magsbinf unjjyto the above described pro y and structure for review andinspection.
OWNER OR AGENT: G DATE: 9'
BLD2011-00796 Please refer to the following pages for conditions of this permit. Page 3 of 3
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o CONCRETE Gas Piping MANUFACTURED HOME 0
o Interior-Date By .— m
Footings I Setbacks Eaderl(�r-Date By Ribbons
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4 Date By Da Date By
rn Foundation Walls BG I SLAG INSULATION Set-up Z
Date By Date By Date By C
FRAMING Floors FIRE DEPARTMENT C
Da to By X
Date By Date By Q
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PLUMBING Date
es By DECKS m
Date By X
Groundwork Vault TANKS
Date By Date By Date By
Attic
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Date By OTHER
Date By DRYWALL Typo.
Date By
Water Line Date By
Type: 100
Date By Int.Brace wall Date ByCD
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BY
Q) MECHANICAL °� seperaa°n FINAL INSPECTION o
m Oate By Date By Date By
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sPass or Request Inspect. oy
CD Type of Insp. Fail Date Date Done By Comments
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r t PERMIT NOI�
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
Shelton (360) 427-9670 • Belfair(360)275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us -
APPLICANT jNF MATION CONTRACTOR INFORMATION
Owner__1e
Company Name
Mailin Addre_s Mailing Address
City tate Zip Code = City Mate Zip Code
Phone v Other Ph. - 9t:v 6CL Phone Other Ph.
Lien/Title Holder Contractor Reg.4 Exp.
E mail address E Mail Address
Drivers Lic.#22V-6 tdo"I%ll9 DOB Q f 7- 1 Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic- Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city)f iLLSiVe .91.E ,v DVL=- -
Directions to site To 2ZFiMr - d ,R
A t T ZS77 T ki5aWcs,v
Is property within 200'of Saltwater Lake k&) River/Creek �) Pond- cJ
Wetland- It Seasonal Runoff�_Stream tib Slopes or Bluffs > 15%
TYPE OF JOB - New�1 _Add Alt Repair Other ivA-Use of Building-/-4 4�t : / :� l
Location of Fixtures/Units - 1st Floor 2nd Floor Basement--&— Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPQ Natural Gas_- Heat Pump
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps �_ a•w
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee SU
TOTAL PLUMBING TOTAL MECHANICAL
O VNEA/BULDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided urat Lnts employees of Mason County access to the above described property and structure for review and inspection.
P OF INU ON F W K IS BY S OF A PROGRESS INSPECTION.
X Date:9-
Owner/Owners Repr t Y Contractor (indicate which one)
FOR OFFICIAL USE BEYON I T P 9INT
Accepted b tanning Pd Ck# Date�-y /Bld Pd Receipt No.
Euilding
TMENTAL REVIEW APPROVED DENIED NOTES
Department
T e Constr.Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES